| NPI | 1699273193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AZ 00004558) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-15-11618) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |